HomeMy WebLinkAbout07-14-0915056041147
REV-1500 EX (06-05) OFFICIAL USE ONLY
PA Department of Revenue County Cade Year File Number
Bureau of Individual Taxes INHERITANCE TAX RETURN
PO 80X.280601 2 1 0 8 12 15
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
11 27 2008 06 13 1916
Decedent's Last Name Suffix Decedent's First Name MI
FALEY ALTHEA E
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
X^ 1. Original Return ^ 2. Supplemental Return ~~ 3. Remainder Return (date of death
prior to 12-13-82)
4. Limited Estate ^ yg. Future Interest Compromise ~~ 5. Federal Estate Tax Return Required
(date of death after 12-12-82)
8 Decedent Died Testate
(Attach Copy of Will) ~ ~ Decedent Maintained a Living Trust 0 8. Total Number of Safe De osit Boxes
(Attach Copy of Trust) P
^ 9. Litigation Proceeds Received 1p, spousal Poverty Credit (date of death 11.Eleclion to tax under Sec. 9113 A
^ between 12-31-91 and i-1.95) ~~ (Attach Sch. O) ( )
CORRESPONDENT - THI5 SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
WAYNE M PECHT 717 691 9809r~
Firm Name (If Applicable)
PECHT & ASSOCIATES, PC
First line of address
1205 MANOR DRIVE, SUITE 200
Second line of address
City or Post Office
MECHANICSBURG
State ZIP Code
PA 17055
Correspondent's e-mail address: W p e c h t~ p e c h t l a W. C O m
REGISTER aF`]ILS USE O~D LY
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Under penalties of erjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, complete. Declaration preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATU E R N RES 8 FIL G RETURN DATE
Thomas E. Faley ~~"~"~~~
ADDRESS
6 Red Oak Drive, Boi
17007
DATE
Wayne M Pecht 3..19- zyU`~
ADDRESS
1205 Manor Drive, Suite 200, Mechanicsburg, PA 17055
Side 1
L, 15U56U41147
15056041147
J ~'
_J 1505607220
REV-1500 EX
Decedent's Social Security Number
oeoedenrSName: Althea E. Faley
RECAPITULATION
1. Real Estate (Schedule A) ........................................................................................... 1.
2. Stocks and Bonds (Schedule B) ................................................................................. 2. 6 2 4 , 16 5 . 0 2
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) .............. 3.
4. Mortgages & Notes Receivable (Schedule D) ............................................................ 4.
5• Cash, Bank Deposits 8 Miscellaneous Personal Property (Schedule E) .................... 5. 6 0 , 0 3 4 . 6 6
6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested .............. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) ~ Separate Billing Requested .............. 7, 1 0 3 , 19 9 . 9 5
6. Total Gross Assets (total Lines 1-7) ........................................................................ 6, 7 8 7, 3 9 9. 6 3
9. Funeral Expenses & Administrative Costs (Schedule H) ............................................ 9. 17 , 7 8 1 . 6 2
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ................................... 10. 3 . 2 8 2 . 0 0
11. Total Deductions (total Lines 9 & 10) ....................................................................... 11 • 2 1 , 0 6 3 . 6 2
12. Net Value of Estate (Line 8 minus Line 11) .............................................................. 12. 7 6 6 , 3 3 6 . 0 1
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) .................................................... 13.
14. Net Value Subject to Tax (Line 12 minus Line 13) ................................................... 14, 7 6 6 , 3 3 6.01
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .00 0. 0 0 15. 0. 0 0
16. Amount of Line 14 taxable
at lineal rate x .045 7 6 6, 3 3 6. 0 1 16. 3 4, 4 8 5.12
17. Amount of Line 14 taxable
at sibling rate X .12 0. 0 0 17• 0. 0 0
18. Amount of Line 14 taxable
at collateral rate X .15 0. 0 0 16• 0. 0 0
1 s. Tax Due ..................................................................................................................... 1 s. 3 4, 4 8 5.12
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
Side 2
1505607220
150560722D J
REV-1500 EX Page 3
Decedent's Complete Address:
File Number 21-08-1215
DECEDENT'S NAME
Althea E. Faley
STREET ADDRESS
Bethany Village
CITY STATE ZIP
Mechanicsburg PA 17055
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
3. InteresUPenalty if applicable
p. Interest
E. Penalty
33,000.00
1,724.26
Total Credits (A + B + C)
(1) 34,485.12
(2) 34,724.26
(3)
(4) 239.14
(5)
(5A)
(5B)
Total Interest/Penalty (D + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 2 Line 20 to request a refund
5, If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
g. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
Make Check Payable to: REGISTER OF WILLS, AGENT
...............
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred :............................. x
b. retain the right to designate who shall use the property transferred or its income :......................................... ^ 0
c. retain a reversionary interest; or ..................................................................................................................... ^ ^
d. receive the promise for life of either payments, benefits or care? ................. .
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration? ..................................................................................... ^ ^
..................................... x
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ............... ^
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ........................................................................................................................ ~ ^
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
or dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the
surviving spouse is three (3) percent [72 P.S. §9116 (a) {1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero
(0) percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements
for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a
natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. §9116 (a) (1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent,
except as noted in 72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1)j.
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. §9116 (a) (1.3)]. A
sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
Rev-1503 EX+ (6-98)
SCHEDULE B
STOCKS ~ BONDS
continued
COMMONWEALTN OF PENNSYLVANIA
INNERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Faley, Althea E. 21-08-1215
ITEM CUSI
NUMBER P
NUMBER
DESCRIPTION
UNIT VALUE
VALUE AT DATE
OF DEATH
17
Vanguard 500 Index Fund Investor #040-09941902271 - 82.54 3
416.86
Per valuation letter from Vanguard and mean values ,
11126 and 11128 per Scottrade
18 178.68 shares of Vanguard Growth 8L Income Fund 19.22 I 3
434
23
#0093-09941902271 -Per valuation letter from ,
.
Vanguard and mean values 11/26/08 and 11/28/08 per
Scottrade
19 40 shares of VERIZON GLOBAL FUNDINGS CORP 94.29 3
771.60
7.75% DUE 12/1/2030 (TBU37) -Per valuation letter ,
from Morgan Stanley dated 2/3/09
20 Wachovia Securities Account # 3070-4686 -Per 361
122.33
valuation letter from Wachovia Securities ,
TOTAL (Also enter on Line 2, Recapitulation)
624,165.02
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98)
Rev-1503 EX+ (6-96)
SCHEDULE B
STOCKS & BONDS
continued
COMMONJVEALTH Of PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF (FILE NUMBER
Faley, Althea E. 21-08-1215
ITEM
NUMBER CUSIP
NUMBER
DESCRIPTION
UNIT VALUE VALUE AT DATE
OF DEATH
9 2,000 shares of HIGHLAND CREDIT STRATEGIES FD 6.355 12,710.00
(HFC) -Per valuation letter from Morgan Stanley dated
2!3109
10 1,080 shares of ING PRIME RATE TRUST (PPR) -Per 3.255 3,515.40
valuation letter from Morgan Stanley dated 2/3109
11 400 shares of JP MORGAN CHASE CAPITAL TRUST 21.945 8,778.00
7.0% DUE 2/15/2032 (JPM.J) -Per valuation letter from
Morgan Stanley dated 213/09
12 430 shares of MORGAN STANLEY CAPITAL TRUST VI 13.455 5,785.65
6.6% DUE 2/1!2046 (MSJ) -Per valuation letter from
Morgan Stanley dated 213109
13 375.941 shares of MS DIVIDEND GROWTH SECS B 11.08 4,165.43
(DIVBX) -Per valuation letter from Morgan Stanley
dated2/3/09
14 2,315.276 shares of MS GLOBAL DIV GROWTH SECS A 8.00 18,522.21
(GLBAX) -Per valuation letter from Morgan Stanley
dated 213109
15 3,514.1 shares of NUVEEN PENN.PREMINC MUNI FUND 8.685 30,519.96
2 (NPY) -Per valuation letter from Morgan Stanley
dated 213!09
16 200 shares of UNITED STATES CELLULAR 7.5% DUE 13.775 2,755.00
6/15/2034 (UZV) -Per valuation letter from Morgan
Stanley dated 2/3109
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule 8 (Rev. 6-98)
Rev-1503 EX+16-98)
SCHEDULE B
STOCKS 8~ BONDS
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF (FILE NUMBER
Faley, Althea E. 21-08-1215
ITEM
NUMBER CUSIP
NUMBER
DESCRIPTION
UNIT VALUE VALUE AT DATE
OF DEATH
17 ~ Vanguard 500 Index Fund Investor #040-09941902271 - 82.54 3,416.86
Per valuation letter from Vanguard and mean values
11126 and 11128 per Scottrade
18 178.68 shares of Vanguard Growth 8~ Income Fund 19.22 3,434.23
#0093-09941902271 -Per valuation letter from
Vanguard and mean values 11126/08 and 11/28/08 per
Scottrade
19 40 shares of VERIZON GLOBAL FUNDINGS CORP 94.29 3,771.60
7.75% DUE 1 211 12 0 3 0 (TBU37) -Per valuation letter
from Morgan Stanley dated 213109
20 Wachovia Securities Account # 3070-4686 -Per 361,122.33
valuation letterfrom Wachovia Securities
TOTAL (Also enter on Line 2, Recapitulation) 624,165.02
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98)
Rev-1508 EX+ (6-98)
SCHEDULE E
CASH, BANK DEPOSITS, ~ MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENr DECEDENT
ESTATE OF FILE NUMBER
Foley, Althea E. 21-08-1215
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property Jointlyowned with the right of survivorship must be disclosed on schedule F.
ITEM
NUMBER
DESCRIPTION VALUE AT DATE
OF DEATH
1 Capital Blue Cross refund of unearned premium -Per Capital Blue Cross statement 427.60
of account
2 Members 1st Federal Credit Union Checking Account #32478-11 -Per Member's 1st 18,782.53
valuation letter dated 2/3/09
3 Members 1st Federal Credit Union Savings Account #32478-00 -Per Members 1st 6.75
valuation letter dated 2/3/09
4 Morgan Stanley Bank Deposit Program Mondey Market (BDPS) -Per Morgan Stanley 39,506.96
valuation letter dated 2/3/09
5 Prudential Alliance Account -Balance of account payable to Estate per letter and 1,310.82
check from Prudential
TOTAL (Also enter on Line 5, Recapitulation) I 60 034.66
(If more space Is needed, addltlonal pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98)
• Rev-1510 EX+ (6-98)
,~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS 8~
MISC. NON-PROBATE PROPERTY
ESTATE OF FILE NUMBER
Faley, Althea E. 21-08-1215
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
ITEM
NUMBER DESCRIPTION OF PROP TY
INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND
THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH
VALUE OF ASSET %OF DECO'S
INTEREST ExcLUSION
(IF APPLICABLE) TAXABLE
VALUE
1 Allstate Life Insurance Company Contract 81,291.67 81,291.67
#484963 -Date of death value per valuation letter
from Allstate
2 Members 1st Certificate of Deposit # 32478-15 - 21,908.28 21,908.28
Per valuation letter from Members 1st dated
2!3109
TOTAL (Also enter on Line 7, Recapitulation) I 103,199.95
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98)
REV-1151 EX+(~2-99)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES ~
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Faley, Althea E. 21-08-1215
Debts of decedent must be reported on Schedule I.
ITEM DESCRIPTION
NUMBER AMOUNT
A. FUNERAL EXPENSES:
See continuation schedule(s) attached
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Social Security Number(s) / EIN Number of Personal Representative(s):
Street Address
City State Zip
Year(s) Commission paid
2. Attorney's Fees Pecht 8~ Associates, PC
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees Cumberland County Register of Wills
5. Accountant's Fees
6. Tax Return Preparer's Fees Pecht ~ Associates
7. Other Administrative Costs
See continuation schedule(s) attached
TOTAL (Also enter on line 9, Recapitulation)
11,235.10
5,000.00
715.00
500.00
331.52
17,781.62
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF
Faley, Althea E. FILE NUMBER
21-08-1215
ITEM
NUMBER DESCRIPTION AMOUNT
Funeral Exaenses
1 Diocese of Harrisburg/Cemeteries for bronze grave marker -Per letter and sales
contract from Office of Catholic Cemeteries 850.00
2 Neill Funeral Home, Inc. -Funeral and related expenses per Statement dated January
14, 2009 10,385.10
H-A Subtotal 11,235.10
Other Administrative Costs
3 Cumberland County Register of Wills -Filing fee for Pa ITR 15.00
4 Cumberland County Register of Wills -Filing fee for Pa Inventory 15.00
5 Cumberland County Register of Wills -Filing fee for Family Settlement Agreement 20.00
6 Cumberland County Register of Wills -Additional Short Certificates g.p0
7 Cumberland Law Journal -Legal advertisement and proof of publication 75.00
8 The Sentinel -Legal advertisement and proof of publication 198.52
H-67 Subtotal 331.52
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98)
Rev-1512 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAx RETURN
RESIDENT DECEDEM
SCHEDULE 1
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, ~ LIENS
ESTATE OF FILE NUMBER
Faley, Althea E. 21-08-1215
Include unrelmbursed medical expenses.
ITEM
NUMBER DESCRIPTION VALUE AT DATE
OF DEATH
1 Bethany Skilled Nursing facility services patient responsibility -Per December 71.00
Invoice and check #105 payable to Bethany dated 1110/09
2 Bethany Village unpaid fees -Per January Invoice and check #111 payable to 50.00
Bethany dated 2/8109
3 Continuing Care Medications -Per Novmeber Invoice and check #108 518.00
4 IRS final personal income taxes -Paid per line #75 of the return 2,389.00
5 Pennsylvania Department of Revenue final personal income taxes -Paid per line 27 254.00
of the return
TOTAL (Also enter on Line 10, Recapitulation) I 3 282 00
(If more space Is needed, addltlonal pages of the same size) '
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 6-98)
REV-1513 EX+(9-00}
COMMONWEALTH OF PENNSYLVANIA
SCHEDULE J
BENEFICIARIES
tSIAItt7F
Faley, Althea E.
NUMBER NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
I~ TAXABLE DISTRIBUTIONS [include outright spousal
distributions, and transfers
under Sec. 9116(a)(1.2)]
1 Katherine Faley-Wech
PA
2 Joseph J. Faley
18548 Sandpiper Place
Leesburg, VA 20176
3 Thomas E. Faley
6 Red Oak Drive
Boiling Springs, PA 17007
II.
FILE NUMBER
21-08-1215
RELATIONSHIP TO SHARE OF ESTATE MOU
DECEDENT Words
Do Not Llst Trusteelsl ( )
Granddaughter
Son
Son
Named
beneficiary of
Members 1st
FCU Certificate
One-half of the
residual estate
One-half of the
residual estate
1' OF ESTATE
($$$)
21,908.28
372,213.87
372,213.87
Total 766,336.02
Enter dollar amounts for distributions shown above on lines 15 throw h 18, asap ro riate, on Rev 1500 cover sheet
NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
BEING MADE
CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-150u ~cneaule ~ (Rev. 6-98)
PECHT & ASSOCIATES, PC
Suite 200
1205 Manor Drive
Mechanicsburg, PA 17055
Wayne M. Pecht
Member of California Bar
CPA/LLM in Taxation
Rob Bleecher
Herbert P. Henderson, II
Telephone: 717-691-9809
Fax: 717-691-2070
e-mail: lstarlings@pechtlaw.com
www.pechtlaw.com
July 13, 2009
VIA FIRST CLASS MAIL
Glenda Farner Strasbaugh, Register of Wills
Cumberland County Courthouse
1 Courthouse Square
Carlisle, PA 17013
In re: Estate of Althea E. Faley, deceased
SSN: 166-30-6073
Date of Death: November 27, 2008
Dear Ms. Farner Strasbaugh
Enclosed are the original and two (2) copies of REV-1500 Inheritance Tax Return and the original and one
(1) copy of the Inventory for the above-referenced Estate. Please clock-in the extra copies and return
them to us. We have enclosed aself-addressed, stamped envelope for your convenience.
Thank you for your attention to this matter.
Very truly yours, ~
O
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PECHT & ASSOCIATES
PC _~~
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Enclosures
Elizabethtown Office
55 West High Street
Elizabethtown, PA 17022
717-367-2800 office
717-367-9400 facsimile
PECHT & ASSOCIATES, PC
1205 Manor Drive, Suite 200
Mechanicsburg, PA 17055
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Glenda Farner Strasbaugh, Register of Wills
Cumberland County Courthouse
i Lourtnouse square
Carlisle, PA 17013
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